Provider Demographics
NPI:1275128811
Name:RHOADS, TAFFI LEE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:TAFFI
Middle Name:LEE
Last Name:RHOADS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 BONNIE SPUR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-1231
Mailing Address - Country:US
Mailing Address - Phone:254-290-0871
Mailing Address - Fax:
Practice Address - Street 1:1506 BONNIE SPUR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-1231
Practice Address - Country:US
Practice Address - Phone:254-290-0871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX044301225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist